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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 4110 Cliff Drive Everett 98203 c <br /> BUILDING AREA(if residential, new construction, remodel,or additio 12 40 SF ;2) l `� <br /> BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED ❑D PLEX • MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: - residential <br /> kr ,', 111:"P;71,117:Ti7,717777rif-- <br /> CONTRACT PRICE OF WORK: • 4500 <br /> NUMBER OF DEVICES if low • <br /> FIRE ALARM? 0 YES NO <br /> ASSOCIATED BUILDING PERMIT# if a••licable : _ <br /> DESCRIPTION OF WORK: - rewire the whole house , _OQ ' <br /> OWNER NAME:Wayne Smith TENANT NAME If Commercial : <br /> OWNER MAILING ADDRESS: STREET 22121 17th Ave SE #109 <br /> cm( Bothell STATE WA ZIP 98021 <br /> OWNER PHONE: 4255832996 OWNER EMAIL: <br /> CONTRACTOR NAME: Bright& Right Electrical Services LLC <br /> CONTRACTOR ADDRESS: STREET 23825 45TH AVE SE <br /> CITY Bothell STATE WA ZIP 9802 <br /> CONTRACTOR PHONE: 2069602397 CONTRACTOR EMAIL: brightandright@yahoo.com <br /> CONTRACTOR LIC.#(REQUIRED): BRIGHRE839DA CITY OF EVERETT BUSINESS LIC.#(REQUIRErMIE� <br /> PRIMARY CONTACT: 0 OWNER Vl CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2069602397 <br /> Daniel CONTACT EMAIL: brightandright@yahoo.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# 1 <br /> c�au¢Phw .a+i 7.8.,8 E l O�-CO <br /> Owner/Authorized Agent Signature Date (Revised 9!23/2016) <br />